Organization Active NPI

Cloverdale SNF Opco LLC

  • Skilled Nursing Facility
  • Scottsboro, AL
National Provider Identifier
1033044755
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLOVERDALE SNF OPCO LLC
Practice address
412 W Cloverdale Rd
Scottsboro, AL 35768-4264
Phone
(256) 259-1505
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yehuda Herz
Title
Managing Partner
Phone
(551) 795-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

412 W Cloverdale Rd
Scottsboro, AL 35768-4264

Mailing address

365 Route 59 Ste 211
Airmont, NY 10952-3473

Other names 1

  • Cloverdale Rehabilitation and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1033044755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 ROUTE 59 STE 211",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CLOVERDALE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684264",
            "telephone_number": "256-259-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERDALE SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "HERZ",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "551-795-7270"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloverdale Rehabilitation and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.